HomeMy WebLinkAboutH2023-0718 - Permits�EWPORT City of Newport Beach III I I I II I III II II III II I II Mechanical Permit : H2O23-0718
04 .� A Community Development Department - Building Division
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Work Class : Other
G T newportbeachca.gov/civic Issued Date : 11/0812023
Cq�/FORT��P Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 2 WHARFSIDE DR Legal Desc : N TR 15850 BLK LOT 21
Description: MECH -NEW HEAT PUMP. TAMPER RESISTANT CAP REQUIRED
Owner: GROVE SCOTT C TR GROVE FAMILY REVOC TR
Address : 2 WHARFSIDE DR NEWPORT COAST, CA 92657
Phone :
Applicant: CALIFORNIA HEATING & A/C
Address: 33892 PEQUITO DR #B DANA POINT, CA 92629
Phone : (949) 351-4336
Owner/Builder:
Address
Phone :
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks :
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY: Af^
SPECIAL CONDITIONS:
Fire Hazard Zone : NO
Contractor : CALIFORNIA HEATING & A/C
Address : 33892 PEQUITO DR #B DANA POINT, CA 92629
Phone : (949) 351-4336
Con State Lic: 677332
Lic Expire : 09/30/2025
Bus Lic : BT30060389
Bus Lic Expire:09/30/2024
Workers' Compensation Insurance
Carrier: EXEMPT - NO EMPLOYEES
Policy No: EXEMPT
W. C. Expire:
Manufacturer: YORK
Model#: YH2E1BSB21S
OWNER -BUILDER DECLARATION
I hereby affirm under penally of penury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item
"Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to ids Issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions: of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty, of
at more than five hundred dollars ($500).
3 I, as owner of the property,or my employees with wages as their sole compensation, Will do {_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness and Professions Code The Contractors' Stele License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the properly, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was flat built or
nprovedfor the purpose of sale).
7 I. as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property Who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from Heensure under the Contractors' Slate License Law for the followmp reason!
y my signatu ro below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements. covered by this parm it, I.Cat nnol legally
ell a structure that I have built asan owner -builder if it has riot been constructed in its entirety by licensed contractors. l understand that a copy of the applicable law. Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:f/W'ww.leginfo.ca.gov/calaw.html,
ignaturn of Property Owner or Authorized AgentDate
ICENSED CONTRACTOR'S DECLARATION
hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of tvision 3 of the Business and Prof ' �Ionj yCode, and my license is in full force
no effect. License Class License. No Dato Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORR.ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100.000i, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE., INTEREST, ANOATTORNEY'S FEES..
hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a. certificate of consentto self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Jrmance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
xrertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Callfomta, and afire,
t I should become subject to the workers' Domperisation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthose provisions.
nature of Applicant 2
CLARATION REGARDING CO N LENDING AGENCY
!reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code).
Ides s Name _ Lenders Address
my signature below, I certify to each of the following: v
I am the property owner or authorized to act on the property owner's behalf,
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t�o�nt7er the above -identified property for inspection purposes. \' \ T_7 /
nature of Property Owner or Authorized AaeoV // � Print Property Owner's or Authorized Aaent's Name JGL�l/'I��i �c71`'CE/�' / Oate
ACTION
PERMIT 40WED
PERMIT CANCEUF0
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE
REG Ili ATIONS PART Ft OF TITLF 40 AND AQMD RULE
1403
EPA
4u QMD
V ASIiEST05 I EICAI ION 15 NOT APPLICABLE TO
Je PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY